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COMMUNICATIONS AND BRIEF REPORTS
A Case of HIV-Associated Facial Lipoatrophy Treated With 1000-cs Liquid Injectable Silicone
David Orentreich, MD * , and Anna-Sophia Leone, BS *
  * Orentreich Medical Group, LLP, New York, New York
 Address correspondence and reprint requests to: Anna-Sophia Leone, Orentreich Foundation for the Advancement of Science, Inc., 910 Fifth Avenue, New York, NY 10021.
Copyright © 2004 by the American Society for Dermatologic Surgery, Inc.

D. ORENTREICH, md, and Anna-sophia Leone, BS HAve INDICATED NO SIGNIFICANT INTEREST WITH COMMERCIAL SUPPORTERS.

ABSTRACT

Background. Patients infected with the HIV may experience HIV-associated lipodystrophy, a symptom of which is facial lipoatrophy, a dramatic loss of subcutaneous facial tissue. This visible manifestation of HIV infection causes significant psychosocial pain for patients and has been associated with impaired compliance with medical regimens.

Objective. To improve the appearance of facial lipoatrophy in a safe, long-lasting, expeditious, and relatively economical manner.

Methods. An HIV-associated lipodystrophy patient with facial lipoatrophy underwent multiple sessions of soft-tissue augmentation therapy with liquid injectable silicone (LIS) using the microdroplet serial puncture technique.

Results. Administration of LIS by the microdroplet serial puncture technique produced satisfactory improvement of areas of facial atrophy. The treatment time is limited, the patient discomfort and morbidity are minimal, and results are long lasting. Patients report significant satisfaction with treatment.

Conclusion. LIS administered by the microdroplet serial puncture technique is a safe and effective method for treating HIV-associated facial lipoatrophy and compares favorably with other methods of tissue augmentation.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1524-4725.2004.30175.x About DOI

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